help plz

HI EVERY BODY,

i am a nursing student..i would be thankful if any answer clarify my question

i had a patient post cabg.. on dopamine inotop.. in the meds the doctor ordered albumin prn..i know the albumin is important to maintain osmotic pressue but what i didn't get is why it is prn

regards

Often CV surgons/ICU's have a specific protocol for their hearts. Ie. They can receive so many plasmanates/albumin based on filling pressures (PA, CVP), bp, u/o etc. at the RN's discretion. The RN's are trained to make these decisions, follow a certain protocol and notify the MD with any major changes/problems.

Actually in today's world, that isn't a valid order. When the accreditation team comes they will have a problem with it for sure. The doc should be writing prn for xxxx low BP or whatever. Your being new is a good example of why this change in practice needs to occur.